But it is also well documented that when a region has over capacity in some test facility, say MRI, costs in that area also rise. Often prescribe-rs over use the facility in an effort to support it. And all too often the physician forwarding patients has a financial position in the facility.

There also seems to be the problem of over concentration of services in a few desirable big cities leaving other areas under served.

Again the medical community seems to need govt assistance to do the obvious to provide good care.